000			02867nam a22003377a 4500
008			211101s20212021 xxu||||| |||| 00| 0 eng d
022			_a0022-4804
040			_aOvid MEDLINE(R)
099			_a34496030
245			_aGreatest Quality of Life Improvement in Patients With Large Ventral Hernias: An Individual Assessment of Items in the HerQLes Survey.
251			_aJournal of Surgical Research. 268:337-346, 2021 Aug 13.
252			_aJ Surg Res. 268:337-346, 2021 Aug 13.
253			_aThe Journal of surgical research
260			_c2021
260			_fFY2022
265			_saheadofprint
266			_d2021-11-01
520			_aBACKGROUND: Ventral hernia repair (VHR) has been shown to improve overall quality of life (QOL) by the validated 12-question Hernia-Related Quality-of-Life survey (HerQLes). However, which specific aspects of quality of life are most affected by VHR have not been formally investigated.
520			_aCONCLUSIONS: VHR is associated with improvement in each of the 12 components of QOL measured in the HerQLes questionnaire, regardless of the size of their hernia. The amount of improvement, however, may be dependent on hernia size and approach. Copyright (c) 2021. Published by Elsevier Inc.
520			_aMETHODS: Through retrospective analysis of the Abdominal Core Health Quality Collaborative national database, we measured the change in each individual component of the HerQLes questionnaire from a pre-operative baseline assessment to one-year postoperatively in VHR patients.
520			_aRESULTS: In total, 1,875 VHR patients had completed both pre- and post-operative questionnaires from 2014-2018. They were predominately Caucasian (92.3%), 57.9 +/- 12.4 Y old, and evenly gender split (50.5% male, 49.5% female, P = 0.31). Most operations were performed open (80.5%) with fewer laparoscopic (7.5%) or robotic cases (12.1%). For each of the 12 individual categories, improvement in QOL from baseline to 1-Y was found to be statistically significant (P < 0.0001). This held true with subgroup analysis of small (<2 cm), medium (2-6 cm), and large (>6 cm) hernias (P < 0.0001), though a larger improvement was seen in 8 of 12 components in hernias >6 cm (P < 0.001). Operative approach did not carry a significant effect except in medium hernias (2-6 cm), where an open approach saw a greater improvement in the "accomplish less at work" item (P = 0.02).
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
651			_aMedStar Washington Hospital Center
656			_aSurgery/Thoracic and Esophageal Surgery
657			_aJournal Article
700			_aVadlamudi, Chaitanya
790			_aCollins CE, Gupta A, Haisley KR, Poulose BK, Renshaw SM, Vadlamudi C
856			_uhttps://dx.doi.org/10.1016/j.jss.2021.06.075 _zhttps://dx.doi.org/10.1016/j.jss.2021.06.075
942			_cART _dArticle
999			_c991 _d991